<%@ include file="/view/template/header.jsp"%>	
	<div id="content">
    	<%@ include file="/view/ehr/ehr_common.jsp"%>
        		<div class="right-content">
        		
			<div class="box">
			 <div class="sub_box">
				<h1><s:label key="label.patient.merge_patients" cssClass="label_text"></s:label></h1>
				<h3><s:if test='replyMessage2.message!="empty"'>
					<s:property value="replyMessage2.message"/>
			</s:if></h3>
				
				<h3><s:elseif test='replyMessage1.message!="empty"'>
					<s:property value="replyMessage1.message"/>
			</s:elseif></h3>
			
			
				<s:form method="post" action="merge_patient_form">
				<div class="con-part"><span><s:label key="label.merge.patient1" cssClass="label_text"></s:label><img name="required" src="<% out.print(baseURL);%>/view/required.jpg" width="15" height="20" alt="required" /></span> 
				<s:textfield name="patientId1"  key="patientId1" class="input-text" cssErrorClass="error"></s:textfield>
					<s:fielderror cssStyle="errorMessage"><s:param value="%{'patientId1'}"/></s:fielderror> </div>
				
					<div class="clear_both"></div>
					<div class="con-part"><span><s:label key="label.merge.patient2" cssClass="label_text"></s:label><img name="required" src="<% out.print(baseURL);%>/view/required.jpg" width="15" height="20" alt="required" /></span> 
					<s:textfield name="patientId2" key="patientId2" class="input-text" cssErrorClass="error"></s:textfield>  
					<s:fielderror cssStyle="errorMessage"><s:param value="%{'patientId2'}"/></s:fielderror></div>
					
					<div class="button_bar2">
					<s:submit cssClass="green" type="button" key="merge.merge_button"/>
					</div>
						<div class="clear"></div>
						<div class="button_bar2">
						<span>
						</span>
					</div>	

				</s:form>
			</div>
			</div>
			</div>
		</div>

	<%@ include file="/view/template/footer.jsp"%>
